Evaluation 16-hour P.I.E.C.E.S. Learning & Development Program -Elmira- Mar 29-2017

Completing this post-learning evaluation is a requirement of the 16-hour P.I.E.C.E.S. Learning and Development Program and the evaluation of the P.I.E.C.E.S. education program provides guidance for ongoing enhancements. Thank you for your feedback!

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* 1. Participant Information (required): This information is collected for the purposes of issuing a certificate only and will be removed from the survey summary report to ensure confidentiality.

First & Last Name

Organization

Email Address -where your certificate is to be sent:

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* 2. How would you rate the PACE of learning activities?

1. Too slow

3. Just about right

5. Too fast

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* 3. How would you rate the VOLUME of content?

1. Too little

3. Just about right

5. Too much

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* 4. How would you rate the COMPLEXITY of material?

1. Too basic

3. About right

5. Too complex

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* 5. How would you rate your opportunities to participate?

1. Too few

3. About right

5. Too many

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* 6. How would you rate your satisfaction with the following aspects of the session?

	Poor	Fair	Good	Very Good	Excellent
a. Educator Team	a. Educator Team Poor	a. Educator Team Fair	a. Educator Team Good	a. Educator Team Very Good	a. Educator Team Excellent
b. Interaction with other health professionals	b. Interaction with other health professionals Poor	b. Interaction with other health professionals Fair	b. Interaction with other health professionals Good	b. Interaction with other health professionals Very Good	b. Interaction with other health professionals Excellent
c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates)	c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates) Poor	c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates) Fair	c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates) Good	c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates) Very Good	c. Job Aids (P.I.E.C.E.S. 3-Q and Psychotropics Job Aids, and P.I.E.C.E.S. tools and Templates) Excellent
d. Conversations regarding TEAM and shared solution-finding	d. Conversations regarding TEAM and shared solution-finding Poor	d. Conversations regarding TEAM and shared solution-finding Fair	d. Conversations regarding TEAM and shared solution-finding Good	d. Conversations regarding TEAM and shared solution-finding Very Good	d. Conversations regarding TEAM and shared solution-finding Excellent
e. The P.I.E.C.E.S. Textbook	e. The P.I.E.C.E.S. Textbook Poor	e. The P.I.E.C.E.S. Textbook Fair	e. The P.I.E.C.E.S. Textbook Good	e. The P.I.E.C.E.S. Textbook Very Good	e. The P.I.E.C.E.S. Textbook Excellent
f. The session overall	f. The session overall Poor	f. The session overall Fair	f. The session overall Good	f. The session overall Very Good	f. The session overall Excellent

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* 7. How do you rate the 16-hour program in meeting its goals to develop:

	Poor	Fair	Good	Very Good	Excellent
a. a common set of values	a. a common set of values Poor	a. a common set of values Fair	a. a common set of values Good	a. a common set of values Very Good	a. a common set of values Excellent
b. a common language for communicating across the system	b. a common language for communicating across the system Poor	b. a common language for communicating across the system Fair	b. a common language for communicating across the system Good	b. a common language for communicating across the system Very Good	b. a common language for communicating across the system Excellent
c. a common yet comprehensive Team approach to shared solution-finding	c. a common yet comprehensive Team approach to shared solution-finding Poor	c. a common yet comprehensive Team approach to shared solution-finding Fair	c. a common yet comprehensive Team approach to shared solution-finding Good	c. a common yet comprehensive Team approach to shared solution-finding Very Good	c. a common yet comprehensive Team approach to shared solution-finding Excellent

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* 8. Compared to pre-P.I.E.C.E.S. learning, how confident are you in your ability to assess a person's:

	Not Confident	Slightly	Fairly	Quite	Very confident
Physical health?	Physical health? Not Confident	Physical health? Slightly	Physical health? Fairly	Physical health? Quite	Physical health? Very confident
Intellectual abilities?	Intellectual abilities? Not Confident	Intellectual abilities? Slightly	Intellectual abilities? Fairly	Intellectual abilities? Quite	Intellectual abilities? Very confident
Emotional health?	Emotional health? Not Confident	Emotional health? Slightly	Emotional health? Fairly	Emotional health? Quite	Emotional health? Very confident
Functional capabilities?	Functional capabilities? Not Confident	Functional capabilities? Slightly	Functional capabilities? Fairly	Functional capabilities? Quite	Functional capabilities? Very confident
Environmental factors?	Environmental factors? Not Confident	Environmental factors? Slightly	Environmental factors? Fairly	Environmental factors? Quite	Environmental factors? Very confident
Social and cultural factors?	Social and cultural factors? Not Confident	Social and cultural factors? Slightly	Social and cultural factors? Fairly	Social and cultural factors? Quite	Social and cultural factors? Very confident

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* 9. Compared to pre-P.I.E.C.E.S. learning, how confident are you in your:

	Not confident	Slightly	Fairly	Quite	Very confident
Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults?	Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults? Not confident	Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults? Slightly	Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults? Fairly	Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults? Quite	Knowledge of brain function and behavioural changes/risk associated with neurocognitive impairment in older adults? Very confident
Knowledge of mental health needs and behavioural changes/risk in older adults?	Knowledge of mental health needs and behavioural changes/risk in older adults? Not confident	Knowledge of mental health needs and behavioural changes/risk in older adults? Slightly	Knowledge of mental health needs and behavioural changes/risk in older adults? Fairly	Knowledge of mental health needs and behavioural changes/risk in older adults? Quite	Knowledge of mental health needs and behavioural changes/risk in older adults? Very confident
Ability to support and model Team shared solution finding using the 3-Q Template?	Ability to support and model Team shared solution finding using the 3-Q Template? Not confident	Ability to support and model Team shared solution finding using the 3-Q Template? Slightly	Ability to support and model Team shared solution finding using the 3-Q Template? Fairly	Ability to support and model Team shared solution finding using the 3-Q Template? Quite	Ability to support and model Team shared solution finding using the 3-Q Template? Very confident

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* 10. In your role, you have opportunities to work collaboratively with the following partners. For each partner you will collaborate with, please rate how confident you now feel in working with them as a team.

	Not confident	Slightly	Fairly	Quite	Very confident	Not Applicable
Resident/Client/Patient	Resident/Client/Patient Not confident	Resident/Client/Patient Slightly	Resident/Client/Patient Fairly	Resident/Client/Patient Quite	Resident/Client/Patient Very confident	Resident/Client/Patient Not Applicable
Caregivers	Caregivers Not confident	Caregivers Slightly	Caregivers Fairly	Caregivers Quite	Caregivers Very confident	Caregivers Not Applicable
Other staff members	Other staff members Not confident	Other staff members Slightly	Other staff members Fairly	Other staff members Quite	Other staff members Very confident	Other staff members Not Applicable
Administrators/Managers	Administrators/Managers Not confident	Administrators/Managers Slightly	Administrators/Managers Fairly	Administrators/Managers Quite	Administrators/Managers Very confident	Administrators/Managers Not Applicable
Physicians	Physicians Not confident	Physicians Slightly	Physicians Fairly	Physicians Quite	Physicians Very confident	Physicians Not Applicable
Seniors Mental Health Services Partners	Seniors Mental Health Services Partners Not confident	Seniors Mental Health Services Partners Slightly	Seniors Mental Health Services Partners Fairly	Seniors Mental Health Services Partners Quite	Seniors Mental Health Services Partners Very confident	Seniors Mental Health Services Partners Not Applicable
Other external partners (e.g. Alzheimer Society)	Other external partners (e.g. Alzheimer Society) Not confident	Other external partners (e.g. Alzheimer Society) Slightly	Other external partners (e.g. Alzheimer Society) Fairly	Other external partners (e.g. Alzheimer Society) Quite	Other external partners (e.g. Alzheimer Society) Very confident	Other external partners (e.g. Alzheimer Society) Not Applicable

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* 11. Compared to pre-P.I.E.C.E.S. learning, please rate your knowledge in the Selection, Detection, and Monitoring of psychotropic medication:

Poor

Fair

Good

Very Good

Excellent

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* 12. Rate the extent to which you agree or disagree with the following statements:

	Strongly Disagree	Disagree	Neutral or Not Sure	Agree	Strongly Agree
I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person.	I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person. Strongly Disagree	I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person. Disagree	I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person. Neutral or Not Sure	I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person. Agree	I am clear about the expectations for my role and performance as a P.I.E.C.E.S. Resource Person. Strongly Agree
I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person	I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person Strongly Disagree	I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person Disagree	I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person Neutral or Not Sure	I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person Agree	I have the necessary support (resources, time, authority, etc.) to fulfill my role as a P.I.E.C.E.S. Resource Person Strongly Agree
I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person.	I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person. Strongly Disagree	I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person. Disagree	I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person. Neutral or Not Sure	I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person. Agree	I am aware of the reinforcements/incentives/rewards for my work as a P.I.E.C.E.S. Resource Person. Strongly Agree
I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours.	I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours. Strongly Disagree	I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours. Disagree	I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours. Neutral or Not Sure	I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours. Agree	I receive prompt and appropriate feedback from supervisors or others on my day- to-day practice in dealing with mental health problems and associated behaviours. Strongly Agree
I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues.	I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues. Strongly Disagree	I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues. Disagree	I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues. Neutral or Not Sure	I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues. Agree	I have the necessary skills and knowledge to perform successfully in my day-to-day practice related to cognitive/mental health problems and associated behavioural issues. Strongly Agree

Evaluation 16-hour P.I.E.C.E.S. Learning & Development Program -Elmira- Mar 29-2017

Question Title

* 1. Participant Information (required): This information is collected for the purposes of issuing a certificate only and will be removed from the survey summary report to ensure confidentiality.

Question Title

* 2. How would you rate the PACE of learning activities?

Question Title

* 3. How would you rate the VOLUME of content?

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* 4. How would you rate the COMPLEXITY of material?

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* 5. How would you rate your opportunities to participate?

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* 6. How would you rate your satisfaction with the following aspects of the session?

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* 7. How do you rate the 16-hour program in meeting its goals to develop:

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* 8. Compared to pre-P.I.E.C.E.S. learning, how confident are you in your ability to assess a person's:

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* 9. Compared to pre-P.I.E.C.E.S. learning, how confident are you in your:

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* 10. In your role, you have opportunities to work collaboratively with the following partners. For each partner you will collaborate with, please rate how confident you now feel in working with them as a team.

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* 11. Compared to pre-P.I.E.C.E.S. learning, please rate your knowledge in the Selection, Detection, and Monitoring of psychotropic medication:

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* 12. Rate the extent to which you agree or disagree with the following statements:

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* 13. Did you review the performance objectives with your supervisor?

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* 14. Please provide any comments or suggestions for the facilitators.